| Name: | Quit Genius Medical, P.A. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 May 2022 (3 years ago) |
| Branch of: | Quit Genius Medical, P.A., FLORIDA (Company Number P20000088329) |
| Identification Number: | 001740346 |
| Place of Formation: | FLORIDA |
| Principal Address: | 350 SEVENTH AVENUE SUITE 1100, NEW YORK, NY, 10001, USA |
| Purpose: | DIGITAL CLINIC OR THE TREATMENT OF SUBSTANCE USE DISORDERS INCLUDING TOBACCO ALCOHOL AND OPIOID |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730784893 | 2020-12-04 | 2020-12-04 | 1732 1ST AVE # 20163, NEW YORK, NY, 101285177, US | 125 WHIPPLE ST, PROVIDENCE, RI, 02908, US | |||||||||||||
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| Phone | +1 601-559-6188 |
Authorized person
| Name | DR. CHET ALLEN THARPE |
| Role | PHYSICIAN OWNER |
| Phone | 6015596188 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| CHET THARPE | PRESIDENT | 504 N. MEADOW RICHMOND, VA 23220 USA |
| Name | Role | Address |
|---|---|---|
| DEVONNE MOWRY | TREASURER | 350 SEVENTH AVENUE, SUITE 1100 NEW YORK, NY 10001 USA |
| Number | Name | File Date |
|---|---|---|
| 202451076300 | Annual Report | 2024-04-15 |
| 202333851650 | Annual Report | 2023-04-25 |
| 202217205870 | Application for Certificate of Authority | 2022-05-11 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
